NPI 1487788428 · live from the CMS NPI Registry
Tammy Sue Beaudreault, PharmD
Pharmacist in Fairbanks, AK. National Provider Identifier 1487788428, active.
NPI record
| NPI | 1487788428 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pharmacist 183500000X |
| Practice location | 1650 Cowles St, Fairbanks, AK 99701 |
| Practice phone | 907-458-5615 |
| Mailing address | Safeway 0405 Pharmacy, 3627 Airport Way, Fairbanks, AK 99709 |
| Enumerated | March 14, 2007 |
| Last updated | January 26, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist primary | 183500000X | 1645 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.